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Showing results for "incidents".

  1. psnet.ahrq.gov/issue/medication-errors-pediatrics-octopus-evading-defeat
    March 14, 2022 - Review Medication errors in pediatrics—the octopus evading defeat. Citation Text: Sullivan JE, Buchino JJ. Medication errors in pediatrics--the octopus evading defeat. J Surg Oncol. 2004;88(3):182-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…
  2. psnet.ahrq.gov/issue/evolution-safety-culture
    March 17, 2021 - Commentary The evolution of a safety culture. Citation Text: Patton BS, Donovan KJ. The Evolution of a Safety Culture. Air Med J. 2015;34(5):264-8. doi:10.1016/j.amj.2015.05.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
  3. psnet.ahrq.gov/issue/jcaho-patient-safety-event-taxonomy-standardized-terminology-and-classification-schema-near
    June 04, 2014 - Commentary Classic The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. Citation Text: Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized t…
  4. psnet.ahrq.gov/issue/effects-screen-point-care-computer-reminders-processes-and-outcomes-care
    September 20, 2011 - Review The effects of on-screen, point of care computer reminders on processes and outcomes of care. Citation Text: Shojania KG, Jennings A, Mayhew A, et al. The effects of on-screen, point of care computer reminders on processes and outcomes of care. Cochrane Database Syst Rev. 2009;(3…
  5. psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-settings
    December 31, 2014 - Review Monitoring for medication errors in outpatient settings. Citation Text: Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487. Copy Citation Format: D…
  6. psnet.ahrq.gov/issue/barriers-and-facilitators-related-implementation-surgical-safety-checklists-systematic-review
    December 05, 2018 - Review Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence. Citation Text: Bergs J, Lambrechts F, Simons P, et al. Barriers and facilitators related to the implementation of surgical safety checklists: a s…
  7. psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
    March 27, 2019 - Commentary The opioid epidemic: what can surgeons do about it? Citation Text: The opioid epidemic: what can surgeons do about it? Saluja S, Selzer D, Meara JG, et al. Bull Am Coll Surg. 2017;102(7):13-18. Copy Citation Save Save to your library Print Dow…
  8. psnet.ahrq.gov/issue/overextended-fighting-fatigue-long-shifts
    January 29, 2018 - Commentary Overextended: fighting the fatigue of long shifts. Citation Text: Douglass JA. Overextended: Fighting the fatigue of long shifts. Nursing (Brux). 2014;44(3):67-8. doi:10.1097/01.NURSE.0000441895.42899.0c. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…
  9. psnet.ahrq.gov/issue/medical-and-nursing-staff-highly-value-clinical-pharmacists-emergency-department
    September 09, 2008 - Study Medical and nursing staff highly value clinical pharmacists in the emergency department. Citation Text: Fairbanks RJ, Hildebrand JM, Kolstee KE, et al. Medical and nursing staff highly value clinical pharmacists in the emergency department. Emergency Medicine Journal. 2007;24(10)…
  10. psnet.ahrq.gov/issue/effect-hospitalist-discontinuity-adverse-events
    August 25, 2011 - Study The effect of hospitalist discontinuity on adverse events. Citation Text: O'Leary KJ, Turner J, Christensen N, et al. The effect of hospitalist discontinuity on adverse events. J Hosp Med. 2015;10(3):147-51. doi:10.1002/jhm.2308. Copy Citation Format: DOI Google Schol…
  11. psnet.ahrq.gov/issue/new-view-human-error-origins-ambiguities-successes-and-critiques
    August 12, 2020 - Commentary The ‘new view’ of human error. Origins, ambiguities, successes and critiques. Citation Text: Le Coze JC. The ‘new view’ of human error. Origins, ambiguities, successes and critiques. Safety Sci. 2022;154:105853. doi:10.1016/j.ssci.2022.105853. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
    January 12, 2022 - Commentary Will human factors restore faith in the GMC? Citation Text: Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
  13. psnet.ahrq.gov/issue/effect-pharmacist-adverse-drug-events-and-medication-errors-outpatients-cardiovascular
    July 31, 2013 - Study Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Citation Text: Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch …
  14. psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
    October 08, 2008 - Commentary What's the difference between a hospital and a bottling factory? Citation Text: Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. Copy Citation Format: DOI Google Scholar BibTeX…
  15. psnet.ahrq.gov/issue/culture-safety-results-organization-wide-survey-15-california-hospitals
    November 18, 2009 - Study Classic The culture of safety: results of an organization-wide survey in 15 California hospitals. Citation Text: Singer SJ, Gaba DM, Geppert JJ, et al. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Hea…
  16. psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
    May 11, 2019 - Commentary Reforming the Veterans Health Administration—beyond palliation of symptoms. Citation Text: Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438. Copy Citation Form…
  17. psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong
    April 25, 2018 - Review Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery. Citation Text: Dagi F, Berguer R, Moore S, et al. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surg…
  18. psnet.ahrq.gov/issue/quality-performance-improvement-teamwork-information-technology-and-protocols
    November 03, 2015 - Commentary Quality: performance improvement, teamwork, information technology and protocols. Citation Text: Coleman NE, Pon S. Quality: performance improvement, teamwork, information technology and protocols. Crit Care Clin. 2013;29(2):129-51. doi:10.1016/j.ccc.2012.11.002. Copy Citat…
  19. psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
    December 07, 2016 - Study Effect of surgical safety checklists on pediatric surgical complications in Ontario. Citation Text: O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333. …
  20. psnet.ahrq.gov/issue/bearing-witness-ethics-practice-storying-physicians-medical-mistake-narratives
    July 17, 2024 - Study Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Citation Text: Carmack HJ. Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Health Commun. 2010;25(5):449-58. doi:10.1080/10410236.2010.484876. …